Parkinson's postings

Thursday

Nov 17, 2011 at 7:19 AMNov 17, 2011 at 7:22 AM

ANN MINER HEIMBACK

One could say that a diagnosis of Parkinson's disease is a bitter pill to swallow. It is, of course, a metaphor. However, during the progression of the condition, it may become more of a reality in that swallowing can develop into a problem. There are techniques to help your food and pills go down more smoothly.

To take pills, grinding or crushing can help. But be sure to ask your pharmacist or doctor whether your medication will retain its potency. If you learn that it is not a good idea to grind certain pills, try swallowing them with fruit nectar instead of water. Or use a spoonful of applesauce, honey or pudding.

Food consistency and texture can make a huge difference in your ability to swallow and add to eating pleasure. Stick with foods of a soft, even consistency. You can actually get a nice varied menu by following some tips.

• Strained, thickened fruits. Use a food processor to combine your favorite fruits with cottage cheese, cream cheese or yogurt. Strain off the excess liquid, blend until desired consistency is reached, then serve.

• Yogurt. Buy the smooth or blended variety, or puree the fruit-at-the-bottom yogurt in a blender until smooth.

• Thick puddings.

• Soft bread with crusts removed. Take your time with bread. Eat one small piece at a time. Suck on it until it is soaked in saliva and swallow it with one big gulp.

• Canned liquid diets. Some of these may be too thin; thicken them with cornstarch. Be aware that relying solely on liquid diets can result in low blood albumin, or you might want to add dried egg-white powder to the liquid if you plan to use liquid diets for an extended period.

• Fruit nectars. Look for apricot, pear, mango and banana nectar. Tomato juice can also be easier to swallow.

• Thick spreads, such as hummus or cream cheese. Serve on soft, crustless bread or eat as a snack with a spoon.

• Mashed avocado or banana.

There are many companies that make adaptive devices for meal preparation, eating and drinking easier. Type "adaptive devises for eating" into your web address slot to find some of these companies.

The Parkinson's support group meeting this month was excellent. Judith, a physical therapist from St. Mary Medical Center, demonstrated various methods to improve movement and mobility. Attendees participated in exercises to be done at home, which can slow the progress of Parkinson's disease.

The December meeting will be the annual Christmas party. For more information and reservations, email annheimback@yahoo.com with PD in the subject line.